Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section...

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Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis, PharmD, BCPS Margaret Williamson, PharmD Jim Scott, PharmD

Transcript of Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section...

Page 1: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Interprofessional Education (IPE)in Experiential Education

AACP Experiential Education Section Webinar December 16, 2013

Gina Baugh, PharmD

Erica Ottis, PharmD, BCPS

Margaret Williamson, PharmD

Jim Scott, PharmD

Page 2: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Promoting IPE Activities Throughout an IPPE Curriculum

Gina Baugh, PharmD

Clinical Associate Professor

Director of IPPE

WVU School of Pharmacy

[email protected]

Page 3: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

For questions…

Gina Baugh, Pharm.D.

Clinical Associate Professor

Director of IPPE

WVU School of Pharmacy

[email protected]

Page 4: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Taking Interprofessional Patient Safety and Quality Improvement Learning Out of the Classroom

Erica Ottis, PharmD, BCPS

Clinical Assistant Professor

UMKC School of Pharmacy at MU

[email protected]

Page 5: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

For questions…

Erica Ottis, Pharm.D., BCPS

Clinical Assistant Professor

UMKC School of Pharmacy at MU

[email protected]

Page 6: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Integration of IPE Activities Within Existing Pharmacy and Nursing Courses

Margaret Williamson, PharmD

Assistant Clinical Professor

IPPE Clinical Coordinator

Auburn University Harrison School of Pharmacy

[email protected]

Page 7: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE Pilots• Two IPE pilots implemented in Fall 2012

– One pilot integrated nursing students into patient care

activities within existing IPPE coursework

• All P1, P2, ad P3 student pharmacist participate in a

longitudinal IPPE experience that involves in-home patient

visits with volunteers from the community

– Second pilot integrated student pharmacists into a

Community Assessment Project (CAP) in a Professional

Nursing Concepts across Populations course

• Community nursing course for third year nursing students

Auburn IPE Program - 2013

Page 8: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Objectives• Integrate 4th year nursing students into

IPPE program– Pharmacy and nursing students working

collaboratively to make in home patient visits– Provide patient status updates at weekly

team meetings– 73 student pharmacists, 9 nursing students,

10 pharmacy faculty, and 2 nursing faculty integrated into IPPE patient care activates

Auburn IPE Program - 2013

Page 9: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Objectives

• Integrate 1st year student pharmacists into CAP within the nursing curriculum– 4 student pharmacists– 6 nursing students– 1 pharmacy faculty– 1 nursing faculty

Auburn IPE Program - 2013

Page 10: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Feedback• Obtained by 16 question survey to participating students

and faculty (both nursing and pharmacy)– 66% survey response rate

P1 pharmacy studentP2 pharmacy studentP3 pharmacy student

Senior nursing student Junior nursing student

Pharmacy facultyNursing faculty

0 2 4 6 8 101214161820

Number of Survey Participants

Number of Survey Par-ticipants

Auburn IPE Program - 2013

Page 11: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Survey Question% of ParticipantsYes No Unknown

Do you feel that this IP experience allowed for mutual respect between nursing and pharmacy? (n=69) 84 4 10

Do you feel that this IP experience revealed shared values between nursing and pharmacy? (n=69) 87 3 12

Do you feel that this IP experience allowed roles/responsibilities of both students to appropriately & collaboratively assess & address health care needs of patients? (n=69)

81 4 16

Do you feel this IP experience helped improve your communication abilities with other health care professionals? (n=68) 78 9 15

Do you feel this IP experience helped improve your communication abilities with patients and care givers? (n=67) 73 9 19

Do you feel this IP experience helped develop your skills to practice with a team based approach to health care? (n=67) 85 7 6

Do you feel this IP experience improved patient care within your IPPE team’s patients? (n=69) 71 9 9

As a result of this IP experience, do you feel that you better understand the roles/responsibilities of the other discipline? (n=66) 70 18 12

Page 12: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Feedback

• Overall feedback was positive

– Knowledge and appreciation of other disciplines role,

expertise, and responsibilities

– Perceived improved patient care through collaboration

• 91% indicated a need to continue IPE collaboration

• 85% felt the experience helped develop skills to practice

with a team-based approach to health care

• 78% felt the experience improved their communication

abilities with other health care providers

Auburn IPE Program - 2013

Page 13: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Opportunities for Improvement

• Scheduling patient visits• Clearer delineation of expectations• Enhanced feelings of inclusion within

established disciplinary teams

Auburn IPE Program - 2013

Page 14: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Ongoing Collaboration

• Four 4th year nursing students enrolled in Special Study in Nursing course for Fall 2013

• Nursing students fully integrated IPPE course– Team of thirteen P1, P2, and P3s

• Expectations delineated through course syllabus• Improved collaboration for scheduling patient visits

Auburn IPE Program - 2013

Page 15: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Questions?

Page 16: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

InterProfessional Educationat WesternU

Jim Scott, PharmD

Associate Dean for Experiential & Professional Affairs

Western University College of Pharmacy

[email protected]

Page 17: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Institutional Level

• Vice Provost hired to start and oversee IPE Program - 2007– One faculty level person to manage day-to-

day operations– Several full-time administrative staff for

support

WesternU IPE Program - 2013

Page 18: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Campus Environment• Western University of Health Sciences

– Graduate-level (only) health sciences colleges• Medical (DO)• Graduate Nursing• Allied Health

– Physical Therapy– Physician Assistant– Masters in Health Science Education

• Pharmacy• Vet Med• Podiatry• Optometry• Dentistry

WesternU IPE Program - 2013

Page 19: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – First year in program• First year students from all professional colleges

are required to take 2 semesters of IPE– Case-based interactions with students from

other colleges– 5 cases throughout the 2 semesters

• Some required preparatory work in 1st semester (TeamSTEPPS)

– Each case requires some on-own preparation, then two 2-hour sessions

WesternU IPE Program - 2013

Page 20: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – First year in program

• Teams– ~90 teams of 9 students each

• As representative of each professional college as possible

• Not 100% ideal…some colleges have more

– One faculty/preceptor facilitator per team• Facilitator does not need to be clinical or

specialist in the topic…facilitating not teaching

WesternU IPE Program - 2013

Page 21: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – First year in program• Cases

– Not intended to teach therapeutics• Focused on communication, learning about other

disciplines• Have evolved over time

– Grading based on participation• Interaction, openness to learning about other

programs• Graded by facilitator at the end of each session

WesternU IPE Program - 2013

Page 22: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Second year in program

• Cases– Teams work on cases in group, but most do

not meet often• Most of the work is done via e-mail• Several cases throughout the year• Most of the work is reviewed by the IPE office

and not general faculty/preceptors

WesternU IPE Program - 2013

Page 23: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Clinical Year(s)

• Monthly Case Conference– During regular academic semester months

(except December)– Each college is assigned one conference

where one of their students will present– All other colleges are expected to send

ONE student

WesternU IPE Program - 2013

Page 24: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Clinical Year(s) • Monthly Case Conference

– Presenting student should have a case relevant to multiple disciplines

– Other students should be able and willing to participate in small group discussions…usually representing their profession’s role in the case

– Case presentation lasts 1.5hrs– Attendees usually identified by Exp. Ed.– One faculty moderator/facilitator in the room

WesternU IPE Program - 2013

Page 25: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Clinical Year(s) • Monthly Case Conference

– We completed one year with two highly assessed cases (video monitored by a team)

– Second year consisted of monthly conferences with one person monitoring by video• Currently on our second year of monthly

conferences

WesternU IPE Program - 2013

Page 26: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Clinical Year(s) • Monthly Case Conference – Next Step

– Trying to figure out broader applications• One student to a large group of students

(whoever is on rotation near campus)– Lose ability for each profession to have an equal voice

• Multiple small conferences throughout the month– Logistics more complicated

WesternU IPE Program - 2013

Page 27: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Clinical Year(s) • Team-OSCE

– Cases involve complicated patients requiring input from various practitioners• Synchronous – Students see the patient alone

or in small groups, but meet in an interdisciplinary team to develop care plan

– Closer to ideal of IPE care

• Asynchronous – Students see the patient alone and make recommendations which should include other professions

– More real-life in today’s world

WesternU IPE Program - 2013

Page 28: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Clinical Year(s) • Team-OSCE

– Several pilots performed• Used standardized patients and monitored

via video camera– Students were “evaluated”, but without grades

• Next case uses a make medical chart instead of case summary information

– More real-life in today’s world– Education-oriented EMR not currently available

WesternU IPE Program - 2013

Page 29: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

IPE – Clinical Year(s) • Team-OSCE

– Pilots involved volunteers• Usually highly-motivated, go-getter students• Students “borrowed” from clinic or nearby

rotation sites

– Moving towards “required” Team-OSCEs• College participation is optional• If the college opts in, their students will be

required to participate• Plan to roll-out for 2014/15

WesternU IPE Program - 2013

Page 30: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Questions?

Page 31: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

Thank You

Gina Baugh, PharmD

Erica Ottis, PharmD, BCPS

Margaret Williamson, PharmD

Jim Scott, PharmD

Page 32: Interprofessional Education (IPE) in Experiential Education AACP Experiential Education Section Webinar December 16, 2013 Gina Baugh, PharmD Erica Ottis,

This presentation can be found on the AACP website at…http://www.aacp.org/GOVERNANCE/SECTIONS/EXPERIENTIALEDUCATION/Pages/ExperientialEducationWebinarSeries.aspx

Please complete the program evaluation:https://www.surveymonkey.com/s/GW6ZHYZ